Provider Demographics
NPI:1295736882
Name:LUGUS, THOMAS REIN (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:REIN
Last Name:LUGUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:207 LINDA VISTA DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2743
Practice Address - Country:US
Practice Address - Phone:828-693-9632
Practice Address - Fax:828-693-6244
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC32533207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080177829OtherRAILROAD MEDICARE B
NC8950762Medicaid
NC53224OtherBCBS
NC8950762Medicaid
NC208371AMedicare PIN